以护理敏感指标的PDCA循环管理对预防手术室医院感染预防与控制的影响分析

目的 分析以护理敏感指标的PDCA循环管理对预防手术室医院感染预防与控制的影响。方法 选择2017年10月~2019年9月164例手术患者,根据采用不同护理模式分为两组,对照组（79例）采用单纯采用柏拉图分析法进行手术室医院感染质量控制,观察组（85例）针对控制感染的护理敏感指标进行分析,结合PDCA循环管理模式,反复循环分析因素和改进效果进行评价和执行护理。共有3名手术室护士参与该研究过程。对比两组患者病原菌检出率、切口感染率、手术室消毒效果。结果 观察组医护人员手、物表、环境卫生消毒质量消毒合格率分别为92.94%、95.29%、80.0%,对照组分别为82.28%、84.81%、62.03%,观察组显著高于对照组,差异具有统计学意义（P<0.05）;观察组革兰阳性菌和阴性菌检出率、切口感染率分别为4.71%、10.59%、2.35%,对照组分别为24.05%、31.65%、10.13%,观察组显著低于对照组（P<0.05）。结论 手术室采用以护理敏感指标的PDCA循环管理,可有效预防与控制医院感染发生风险。

Analysis of the influence of PDCA cycle management based on nursing sensitive indexes on the prevention and control of nosocomial infection in the operating room

Objective To analyze the effect of PDCA circulation management with nursing sensitive indexes on the prevention and control of nosocomial infection in operating room. Methods From October 2017 to September 2019, 164 surgical patients were selected and divided into two groups according to different nursing modes. The control group （79 cases） used Plato analysis method to control the quality of hospital infection in operating room. The observation group （85 cases） analyzed the nursing sensitive indicators to control infection. Combined with PDCA circulation management mode, repeated circulation analysis and improvement effect were evaluated. A total of 3 operating room nurses participated in the study process.The detection rate of pathogenic bacteria, infection rate of incision and disinfection effect of operating room were compared between the two groups. Results The sterilization qualification rates of hand, material surface and environmental sanitation disinfection of medical staff in the observation group were 92.94%, 95.29% and 80.0%, respectively,while 82.28%, 84.81% and 62.03% in the control group respectively, the observation group was significantly higher than the control group, the difference was statistically significant （P < 0.05）; in the observation group, the detection rate of Gram-positive and negative bacteria and the infection rate of incision were 4.71%, 10.59%, and 2.35%, the control group was 24.05%, 31.65%, 10.13%, and the observation group was significantly lower than the control group （P<0.05）. Conclusion PDCA circulation management with nursing sensitive index can effectively prevent and control the risk of nosocomial infection